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| Today’s Top Story
Study: Age, Preoperative OA Are Risk Factors for Periacetabular Osteotomy Failure
According to a study published in the April 15 issue of the Journal of the AAOS ®, greater age and BMI, preoperative osteoarthritis (OA), and severe acetabular dysplasia are preoperative risk factors for composite failure in periacetabular osteotomy for hip dysplasia correction. Overall, 124 patients with a least 10 years of follow-up were included. Failure criteria included conversion to total hip arthroplasty or modified Harris Hip Scores (HHS) of ≤70. Seventy-one hips out of 167 met failure criteria. Thirty-two hips required total hip arthroplasty and 39 had a modified HHS of ≤70.
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| In Other News
Study: Recurring Anterior Shoulder Instability after Revision Surgery for Failed Labral Repair
A systematic review published online in the Journal of Shoulder and Elbow Surgery reported similar rates of recurrent instability or further revision after revision bony reconstruction (RBR) compared to revision labral repair (RLR). However, RBR had notably higher recurrence rates than primary bony reconstruction (PBR). Thirteen randomized studies were included, comprising 1,319 shoulders. There were also no significant differences between PBR and RBR in rates of return to sport, revision, or complications.
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| Study: Treatment of Zone 1 Flexor Digitorum Profundus Tendon Injury without Surgical Repair
Patients with zone I flexor digitorum profundus (FDP) tendon injuries treated without acute surgical repair had similar clinical outcomes and fewer complications than surgical repair patients, according to a retrospective study published online in The Journal of Hand Surgery. Twenty-six adult patients were divided into two groups based on surgical repair. Nonrepair included FDP excision or observation alone. The nonrepair group reported no infections, wound dehiscence, or reoperations. The repair group reported four reruptured fingers, four cases of wound dehiscence, three infections, and four reoperations. The surgical group also demonstrated longer average distance from the distal palmar crease to the fingertip.
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| Study: Percutaneous Ankle Fracture Fixation with Fibular Nail and Posterior Malleolar Screws Has Good Patient Outcomes, Treatment Satisfaction, and Stabilization
According to a retrospective study published in the April issue of the Journal of Orthopaedic Trauma, percutaneous ankle fracture fixation with a fibular nail and posterior malleolar screws delivers favorable stabilization, outcomes, and patient satisfaction. Thirty-two patients were identified from a prospective database, and 94 percent of fractures united uneventfully. There were no soft tissue complications. Postoperative talar reduction loss occurred in two patients, with one patient requiring a hindfoot nail arthrodesis. Median Olerud–Molander Ankle Score, Manchester–Oxford Foot Questionnaire, EuroQol-5D, pain, and satisfaction scores were 80.0, 23.4, 0.85, 85.0, and 87.5, respectively.
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| Study: Patient Comfort in Seeking Orthopaedic Care during the COVID-19 Pandemic
According to survey results published in the April issue of Current Orthopaedic Practice, patients are increasingly comfortable receiving orthopaedic care since the onset of the COVID-19 pandemic. A total of 197 participants were questioned regarding attitudes and beliefs about receiving care during the pandemic. The majority reported high levels of comfort receiving care in an orthopaedic clinic, urgent care clinic for orthopaedics, or an ED. Six percent reported delays in seeking orthopaedic care, and 83 percent reported fear of COVID-19 exposure as a reason for delays. Seventy-five percent reported being “extremely” or “very” likely to get the COVID-19 vaccine.
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| AAOS Now
Presidential Guest Speaker Calls for Curiosity, Candor, Empathy in American Discourse
During Your Academy 2022, the marquee event at the Annual Meeting, Presidential Guest Speaker Jon Meacham, noted historian, writer, and commentator, encouraged attendees to have faith in American democracy. “We are without question in a moment of ferocious and deep division in the country,” Mr. Meacham observed. “There is a fracturing of what we would like to think, ideally, is a social contract—not to attempt to agree on everything at all times, but to agree on the facts from which we can then make a ‘diagnosis.’”
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| Your AAOS
Call for Applications: Kappa Delta and OREF Clinical Research Awards
AAOS is soliciting manuscripts for the 2023 Kappa Delta Orthopaedic Research Awards and the Orthopaedic Research and Education Foundation (OREF) Clinical Research Award. Up to two $20,000 Kappa Delta awards (Elizabeth Winston Lanier Award and Ann Doner Vaughn Award), one $20,000 Kappa Delta Young Investigator award, and one $20,000 OREF award will be bestowed, provided manuscripts of requisite quality are submitted. Manuscripts should represent a large body of cohesive scientific work generally reflecting years of investigation. Submissions are due by 11:59 p.m. CDT on July 1.
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